Individual
NADRIA YASMEEN KASUMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 MOUNTAIN AVE, ELKINS PARK, PA 19027-3022
(215) 964-0989
Mailing address
7401 MOUNTAIN AVE, ELKINS PARK, PA 19027-3022
(215) 964-0989
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP022787
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
SP022787
PA
363LG0600X
Gerontology Nurse Practitioner
SP022787
PA
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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